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"Pugh, David"
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Sea-level science : understanding tides, surges, tsunamis and mean sea-level changes
\"Understanding Tides, Surges, Tsunamis and Mean Sea-Level Changes Sea levels change for many reasons and on many timescales, and extreme sea levels can result in catastrophic coastal flooding, such as the Katrina storm surge in 2005 or the Sumatra tsunami in 2004. As global sea level rises, and coastal populations increase, understanding sea-level processes becomes key to plan future coastal defence effectively\"-- Provided by publisher.
Book
COVID-19 prevalence and infection control measures at homeless shelters and hostels in high-income countries: a scoping review
Background
The COVID-19 pandemic has disproportionately impacted homeless populations and service workers, especially within homeless shelter/hostel settings. To date, there have been few evidence syntheses examining outbreaks of COVID-19 among both homeless shelter residents and service workers and no critical review of infection control and prevention (IPAC) measures. This scoping review offers a much-needed synthesis of COVID-19 prevalence within homeless shelters and a review of pertinent IPAC measures.
Methods
We conducted a scoping review that aimed to synthesize academic and gray literature published from March 2020 to July 2021 pertaining to (1) the prevalence of COVID-19 among both residents and staff in homeless shelters and hostels in high-income countries and (2) COVID-19 IPAC strategies applied in these settings. Two reviewers independently screened the literature from several databases that included MEDLINE, PsycInfo, and the WHO’s COVID-19 Global Health Portal. The extracted data was mapped, categorized, and thematically discussed.
Results
Thematic analysis of 77 academic and gray literature documents revealed four key themes: (1) the demographics of COVID-19 in homeless shelters, (2) asymptomatic spread, (3) pre-existing vulnerability of people experiencing homelessness and shelters, and (4) the inconsistency and ineffectiveness of IPAC implementation.
Conclusion
This review offers a useful glimpse into the landscape of COVID-19 outbreaks in homeless shelters/hostels and the major contributing factors to these events. This review revealed that there is no clear indication of generally accepted IPAC standards for shelter residents and workers. This review also illustrated a great need for future research to establish IPAC best practices specifically for homeless shelter/hostel contexts. Finally, the findings from this review reaffirm that homelessness prevention is key to limiting disease outbreaks and the associated negative health outcomes in shelter populations. Limitations of this review included the temporal and database constraints of the search strategy, the exclusion of quality assessments of the literature, and the absence of investigation on the influence of emerging variants on public health policy.
Systematic review registration
This scoping review has not been registered on any database; the protocol is available on York University’s Institutional Repository
https://dx.doi.org/10.25071/10315/38513
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Journal Article
Writers on organizations
This classic text covers managerial decision making, the problem of organisational change and learning, the structure of, and the national and international environments of, organisations, and approaches to solving people problems.
Book
Standard Surgical Protocol to Treat Elbow Dislocations with Radial Head and Coronoid Fractures
BACKGROUND:The results of elbow dislocations with associated radial head and coronoid fractures are often poor because of recurrent instability and stiffness from prolonged immobilization. We managed these injuries with a standard surgical protocol, postulating that early intervention, stable fixation, and repair would provide sufficient stability to allow motion at seven to ten days postoperatively and enhance functional outcome.
METHODS:We retrospectively reviewed the results of this treatment performed, at two university-affiliated teaching hospitals, in thirty-six consecutive patients (thirty-six elbows) with an elbow dislocation and an associated fracture of both the radial head and the coronoid process. Our surgical protocol included fixation or replacement of the radial head, fixation of the coronoid fracture if possible, repair of associated capsular and lateral ligamentous injuries, and in selected cases repair of the medial collateral ligament and/or adjuvant hinged external fixation. Patients were evaluated both radiographically and with a clinical examination at the time of the latest follow-up.
RESULTS:At a mean of thirty-four months postoperatively, the flexion-extension arc of the elbow averaged 112° ± 11° and forearm rotation averaged 136° ± 16°. The mean Mayo Elbow Performance Score was 88 points (range, 45 to 100 points), which corresponded to fifteen excellent results, thirteen good results, seven fair results, and one poor result. Concentric stability was restored to thirty-four elbows. Eight patients had complications requiring a reoperationtwo had a synostosis; one, recurrent instability; four, hardware removal and elbow release; and one, a wound infection.
CONCLUSIONS:Use of our surgical protocol for elbow dislocations with associated radial head and coronoid fractures restored sufficient elbow stability to allow early motion postoperatively, enhancing the functional outcome. We recommend early operative repair with a standard protocol for these injuries.
LEVEL OF EVIDENCE:Therapeutic study, Level IV (case series [no, or historical, control group]). See Instructions to Authors for a complete description of levels of evidence.
Journal Article
Welcome to the punch
Three years ago, master criminal Jacob Sternwood escaped London during a daring robbery that left detective Max Lewinsky physically and emotionally scarred. When a failed heist puts Sternwood's son in a hospital, the fugitive is forced to come out of hiding, giving Max his second chance to get the one criminal who got away. But as Max returns to the pursuit of his arch-nemesis, he begins to uncover evidence of a vast conspiracy that may put him in even greater danger than his personal vendetta.
DVD
Dialectic of Love
Dialectic of Love analyses the arguments of Schiller's major writings on aesthetics and argues that his philosophical thought, theories, and concepts are characteristic of the Platonic tradition. Schiller's conception of beauty is seen as synthesis, the sublime as separation. Pugh connects these concepts to Aristotle's critique of Plato's theory of ideas, in which Aristotle points out an aporia of chorismos (separation) and methexis (participation). In Schiller's thought, Pugh argues, beauty and the sublime operate primarily as metaphysical relations of methexis and chorismos and only secondarily as aesthetic concepts. While Schiller, Pugh reveals, is not very well suited for the role of champion of the Enlightenment, he remains a crucial figure in the transmission of the Platonic tradition to modern idealism and in the application of the Platonic metaphysical heritage to nineteenth-century aesthetics.
eBook
Bardsey – an island in a strong tidal stream: underestimating coastal tides due to unresolved topography
Bardsey Island is located at the western end of the Llŷn Peninsula in northwestern Wales. Separated from the mainland by a channel that is some 3 km wide, it is surrounded by reversing tidal streams of up to 4 m s−1 during spring tides. These local hydrodynamic details and their consequences are unresolved by satellite altimetry and are not represented in regional tidal models. Here we look at the effects of the island on the strong tidal stream in terms of the budgets for tidal energy dissipation and the formation and shedding of eddies. We show, using local observations and a satellite-altimetry-constrained product (TPXO9), that the island has a large impact on the tidal stream and that even in this latest altimetry-constrained product the derived tidal stream is under-represented due to the island not being resolved. The effect of the island leads to an underestimate of the current speed in the TPXO9 data in the channel of up to a factor of 2.5, depending on the timing in the spring–neap cycle, and the average tidal energy resource is underestimated by a factor up to 14. The observed tidal amplitudes are higher at the mainland than at the island, and there is a detectable phase lag in the tide across the island; this effect is not seen in the TPXO9 data. The underestimate of the tide in the TPXO9 data has consequences for tidal dissipation and wake effect computation and shows that local observations are key to correctly estimating tidal energetics around small-scale coastal topography.
Journal Article
Mean sea level and tidal change in Ireland since 1842: a case study of Cork
Knowledge of regional changes in mean sea level and local changes in tides are crucial to inform effective climate adaptation. An essential element is the availability of accurate observations of sea level. Sea level data in the Republic of Ireland, prior to the establishment of the National Tide Gauge Network in the mid-2000s, are limited but belie a wealth of historical data available in archival form. In this study, we digitize records located in Cork Harbour, Ireland, from 1842 and show how short-duration (6–8 weeks), high-quality data with a large interval to the present can accurately inform tidal and mean sea level changes. We consider error sources in detail. We estimate for the main M2 tidal constituent that the accuracy of these historical measurements is 1 % and 2 min for amplitude and phase, respectively, once adjustments for seasonal and nodal effects are made. Our mean sea level estimates are accurate to the 2 cm level, once adjustments for atmospheric and seasonal effects are made. Our results show tidal stability with a 2 % change in the amplitude of the M2 component, 4 min change in the phase over a period of 177 years, and mean sea level rise of 40 cm in the Cork Harbour area from 1842 to 2019, approximately in line with global mean sea level trends plus local glacial isostatic adjustment. More broadly, we show that with careful seasonal, nodal, and atmospheric corrections, together with knowledge of benchmark provenance, these historic, survey-oriented data can accurately inform of sea level changes.
Journal Article
Powerful proposals
\"Powerful Proposals\" gives businesses proven strategies for creating customer-centered documents that outshine the competition every time. \"Powerful Proposals\" goes beyond \"This is what we do\" documents and takes the reader step by step through designing sales-focused, individual proposals that highlight the firm's tangible benefits to the client. this book contains invaluable information on creating effective executive summaries, writing themes, and generating the text, plus how to maximise graphics, callouts, and other visual elements.
eBook
The behavioral advantage
The \"Behavioral Advantage\" reveals the secrets behind what is essentially a chess game with competitors. To win the game, companies must develop: a carefully plotted opening game, with all internal values, policies, practices and behaviors fully aligned to make the most of resources and capabilities; a smart and efficient middle game, in which the company builds and strengthens its position with the customer, thereby outflanking competitors; and a confident and smooth endgame that assures a successful relationship and lays the groundwork for equally successful future games.
eBook